Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012 2013 2014 2015 2016 2017 2018

Details for Mechanism ID: 12510
Country/Region: South Africa
Year: 2012
Main Partner: South Africa Partners Inc.
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: HHS/CDC
Total Funding: $1,400,000

SA Partners (SAP) has a dual role in Integrated Access to Care and Treatment-(I ACT) Program: 1) Expansion of I ACT in Eastern Cape (EC) working with ECDOH on implementation in 7 districts; 2) Provision of a technical advisor for expansion of I ACT nationally. SAP coordinates with NDOH quarterly National Working Group, Task Team and Annual Stakeholder meetings. They provide training of partners and DOH to apply IACT. Goal of I ACT is to promote early recruitment of PLHIV into care & support programs, reducing loss to follow-up rate from time of diagnosis until commencing ART. SAP objectives include to increase early identification and referral of PLHIV into Care and support services; Increase retention of PLHIV in Care & support services; Empower PLHIV to advocate and manage their healthcare needs; Strengthen active engagement of PLHIV, families, healthcare providers & communities in the continuum of Care & Support and Prevention with Positives. I ACT supports Goal 2 of the partnership framework in support of SAs National HIV/AIDS and TB response. I ACT supports PHC re-engineering by Group Facilitator training through an in-service program for clinic staff collaborating with ECRTC; I ACT groups include content on the identifying of chronic illness and opportunistic infections, e.g. TB. I ACT is implemented in EC districts and nationally in collaboration with other Partners; target population is adult diagnosed PLHIV. I ACTs strategy to be more cost efficient is to include I ACT into ECDOH strategic plan. I ACT will transition to SAG, through National discussions to include I ACT in NDOH policy and implementation plans. Transition to a local organization will ensure sustainability of the program. One Vehicle request: $15,000 for EC staff travel.

Funding for Care: Adult Care and Support (HBHC): $1,400,000

I ACT group is a psycho-social support activity for PLHIV and their families in the community and health facility. Type of Care and Support given is an interactive group activity facilitated over 6 weeks that follows a set curriculum aiming to empower participants to manage their care. Target audiences include all who test, focusing on persons 15 years and above. The program is health facility and community based and is implemented nationally and specifically by SA Partners within all districts of Eastern Cape. Collaboration with DOH, partner NGOs and PEPFAR funded partners is essential for success. Participants are referred by health facilities and partners who do HCT. The aim is to place I ACT group activities firmly in Provincial and National Strategic Plans and policy. Mapping of program and HIV care, treatment and prevention sites in districts is done as part of implementation process ensuring referral between program sites is effective. Participants are referred to NGO activities where there are I ACT Groups assisting to retain PLHIV in a support structure that is in the communities. Provision of Training for implementing partners is a big focus of SA Partners role as a national TA organization. Training is also provided in all Provinces. In Eastern Cape there is a Community Based Income Generating Small Grant Program implemented through I ACT program. NGOs are assisted to commence small projects to provide skills development and support to past participants of I ACT Groups. SA Partners has a sub agreement with HISP (Health Information Systems Program) to administer the monitoring and evaluation. A sub agreement with the University of Fort Hare Psychological Services Centre provides aspect of Caring for the Carer by providing a program of self-reflection and debriefing for facilitators of I ACT Groups. Target participants in the program for Eastern Cape for FY2012 = 40 000 scaling up to FY2013 = 60 000. I ACT program supports goal 2 of SAG-USG Partnership Framework, increasing life expectancy and improve the quality of life for people living with and affected by HIV and TB.

Subpartners Total: $0
Health Information Systems Programme: NA
Ibhayi Living Centre: NA
JRI Health Center for Traning and Professional Development: NA
University of Fort Hare: NA
Cross Cutting Budget Categories and Known Amounts Total: $356,500
Gender: Reducing Violence and Coercion $31,500
Human Resources for Health $325,000
Key Issues Identified in Mechanism
Addressing male norms and behaviors
Increasing gender equity in HIV/AIDS activities and services
Tuberculosis
Family Planning